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Exhibit 1. Majority of Americans Say Health Care System Needs Fundamental Change or Complete Rebuilding. Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008. Getting an appointment with a doctor the same or next day when sick, without going to ER. - PowerPoint PPT Presentation
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Exhibit 1. Majority of Americans Say Health Care SystemNeeds Fundamental Change or Complete Rebuilding
Percent reporting
Only minorchanges needed
Fundamentalchanges needed
Rebuild completely
Total 16 50 32
Annual income
<$35,000 11 51 38
$35,000–$49,999 13 50 36
$50,000–$74,999 16 51 31
$75,000 or more 19 52 28
Insurance status
Insured all year 18 52 29
Uninsured during year 10 44 45
U.S. region
Northeast 13 51 35
North Central 16 50 32
South 15 51 33
West 21 48 29
Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008.
Exhibit 2. Access Problems: Three of Four AdultsHave Difficulty Getting Timely Access to Their Doctor
Percent reporting that it is very difficult/difficult:
60
41
30
73
0 25 50 75 100
Getting an appointment with a doctor the same or next day when
sick, without going to ER
Getting advice from your doctor by phone during regular office
hours
Getting care on nights, weekends, or holidays without going to ER
Any of the above
Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008.
Number of Doctors Seen
Percent reporting in past two years: Any 1 to 2 3 +
After medical test, no one called or wrote you about results, or you had to call repeatedly to get results
25 23 27
Doctors failed to provide important information about your medical history or test results to other doctors or nurses you think should have it
21 17 27
Test results or medical records were not available at the time of scheduled appointment
19 15 24
Your primary care physician did not receive a report back from a specialist you saw
15 11 22
Your specialist did not receive basic medical information from your primary care doctor
13 10 17
Any of the above 47 41 56
Exhibit 3. Poor Coordination of Care Is Common,Especially if Multiple Doctors Are Involved
Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008.
Exhibit 4. Potential Waste: One-Third of AdultsExperience Duplicative or Unnecessary Care
Percent reporting in past two years:
32
26
17
0 25 50
Doctors ordered a testthat had already been done
Doctors recommended unnecessary treatment or care,
with little health benefit
Either/both of the above
Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008.
Exhibit 5. Administrative Hassles Related toMedical Bills and Insurance Are Serious Problems
for More Than a Quarter of Adults
Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008.
1018
8
18
22
18
0
25
50
Total Fair/Poor Health Excellent/Very Good/
Good Health
Serious problem
Very serious problem
28
40
26
Percent reporting serious problems spending time on paperwork or disputes related to medical bills and health insurance in past two years
Percent reporting it isvery important/important that:
Total:Very important
or importantVery
important Important
You have one place/doctor responsible for primary care and coordinating care
91 66 25
On nights and weekends, you have a place to go besides ER
89 58 30
You have easy access to your own medical records
94 68 27
All your doctors have easy access to your medical records
96 72 24
You have information about thequality of care provided by different doctors/hospitals
95 63 32
You have information about the costs of care to you before you actually get care
88 57 31
Exhibit 6. Majority Support More Accessible, Coordinated,and Well-Informed Care
Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008.
Note: Subgroups may not sum to total due to rounding.
Percent reportingvery important/importantfor improving patient care:
Total: Very important
or importantVery
important Important
Doctors use computerized medical records 86 41 45
Doctors can access your tests results, such as lab tests or X-rays, electronically
89 53 36
Doctors can share information electronically with other doctors
89 49 41
Doctors prescribe your medications electronically
71 32 39
Exhibit 7. Strong Support for Use of Information Technologyto Improve Patient Care
Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008.
Note: Subgroups may not sum to total due to rounding.
Exhibit 8. Few Adults Have Internet/E-Mail Access to Their Records or Doctors; Many Would Like It
Among those withInternet access,percent reporting ability to:
Access your medical records
viathe Internet
Schedule appointments via
e-mailor Internet
Communicate with your doctors
via e-mail
Yes 9 19 21
Among those who cannot doany of the above:
Would like to be able to 49 57 58
Would not like to be able to 49 43 41
Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008.
Exhibit 9. Support for Doctors Working in Teams and Groups to Improve Patient Care
Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008.
49
27
39
42
0
25
50
75
100
Doctors and nurses working closely
as teams, with expanded role for
nurses
Doctors practicing with other
doctors in groups, rather than on
their own
Important
Very important88
68
Percent reporting very important/important for improving patient care
Exhibit 10. Political Support for Change: Majority Think Next President Should Address Health Care Quality, Costs, and Coverage
Percent reporting very important/ important presidential candidates include measures to:
Improve the quality of
health care
Ensure careand insurance are
affordable
Decreasethe numberof uninsured
Total 90 93 88
Annual income
Less than $35,000 94 97 95
$35,000–$49,999 95 95 90
$50,000–$74,999 90 91 90
$75,000 or more 84 89 80
U.S. region
Northeast 91 95 90
North Central 89 93 84
South 91 94 90
West 87 91 86
Political affiliation:
Democrat 96 98 97
Independent 87 91 85
Republican 84 90 76
Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008.